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<br />e SETrLEIIIlIl'l' CIIARClES COIIT. FILE IlUIlBER: 431284-A <br /> <br />e <br /> <br />'1'he undersigned understande the Clostng or Beerow Agent has ..sembled this information representing the transaction from the best. <br />informet:lon available (reD other source. and cannot guarantee the accuracy thereof. Any real ..tate agent or lender InvolveCI may <br />be furnished a copy of this Stat_nt. The undereigned understands that tax and Insurance prorations and reserv.. were based on <br />figure. for the preceding year or supplied by others or estimate. for the current year, and In the event of any change for the <br />c1l:rrent year," all nece.aary adjustment. must be _d~ between purcha..r and Seller direct. The undersigned hereby authorlzM TITLE <br />CO. to make 8XJllIndituree and d18bun...ante ae ehown above and approvea aame for payment. . <br />we ac_.-ledge receipt of a copy of the SIl'n'LI!HBIl'l' STATEIIE~. . <br /> <br />_1110: It.18 a crime to _nowingly ..._a falae atat_enta to the United Statea on th18.or any other almilar form. Penaltiea upon <br />conviction can include a fine or impriaol\lll!lnt. For detaila aee: Title 18 U.S. Code secti~n 1001 and Section 1010. <br /> <br />Seller <br /> <br />Purchaser <br /> <br /> <br />Seller <br /> <br />Purchaser <br /> <br />We hereby certify that thie 18 a true end correct Statement of <br /> <br />lacrow Officer <br /> <br />AMlRICAII TITLI COMPlIIlY OF ROUSTOIf <br />